Rectification Information Submission Form

This form submits the information needed to cast and interpret your rectification. After you complete the form, press "Submit" to go to the payment page. Your order is not complete and will not be processed until you have both submitted the form and purchased your report via our secure service, PayPal.

Ben Dykes will use the information provided to begin the rectification, but you should expect some back-and-forth e-mails to clarify any questions and get the most accurate rectification. You will receive a report with your natal figure and accurate birthtime, along with a summary of the points used to rectify your chart.

After your rectification is completed, you may order a complete natal delineation and set of annual predictions by solar return, if you wish. For a detailed example of a natal delineation, including technical notes (omitted in paid delineation), please see Ben Dykes's delineation of Michael Jackson's nativity.

Name:
Gender:	Male Female
Birth Date:
Exact Time of Birth:	:
City of Birth:
State (US):
State or Province (non-US):
Country of Birth
Your e-mail:
Confirm your e-mail:
Do you have any comments or areas of concern you would like to be addressed?